<p> MER #</p><p>Post Event Customer Feedback Form</p><p>POST EVENT CUSTOMER FEEDBACK FORM PAGE 1 DOC 11067-9 REV. A Paragon Medical Bioskills Lab would like to thank you for scheduling your Event with us. We would appreciate your assessment of our facility as we strive to make our lab conducive to your MER # experience. </p><p>What is your job position: MD RN PA Sales R&D Other</p><p>How would you rate the following?</p><p>Poor Fair Average Good Excellent</p><p>Our Staff 1 2 3 4 5 N/A</p><p>Our Facility 1 2 3 4 5 N/A</p><p>The Specimen(s) 1 2 3 4 5 N/A</p><p>Available Instrumentation 1 2 3 4 5 N/A</p><p>Equipment 1 2 3 4 5 N/A</p><p>Catering 1 2 3 4 5 N/A</p><p>Total Lab Experience 1 2 3 4 5 N/A</p><p>Was your Event scheduled promptly and efficiently? Y N N/A</p><p>Was the lab prepared for your Event upon arrival? Y N N/A</p><p>Did you find the dressing areas clean and orderly? Y N N/A</p><p>Was the PPE on hand adequate? Y N N/A</p><p>Was the specimen setup as you requested? Y N N/A</p><p>Was the conference room’s size & technology adequate? Y N N/A</p><p>Was the catered food to your liking? Y N N/A</p><p>Were you satisfied with the cleaning of your instrumentation? Y N N/A</p><p>Would you recommend us to your colleagues? Y N N/A</p><p>Is there any general instrumentation you would like us to have on hand for your next visit?</p><p>Is there technology you are accustomed to that was unavailable?</p><p>What can we do next time to improve upon your experience?</p><p>POST EVENT CUSTOMER FEEDBACK FORM PAGE 2 DOC 11067-9 REV. A Do you have any additional comments?</p>